OrganizationActive
Counseling Clinic, Inc
NPI 1649267659 · Psychiatry Physician · Benton, AR
Provider details
- NPI number
- 1649267659
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Bennett, Ceo(501) 315-4224
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
110 Pearson
Benton, AR 72015-4436
Phone: (501) 315-4224
Fax: (501) 778-0450
Approximate (ZIP-level) locationGet directions
Mailing address
110 Pearson
Benton, AR 72015-4436
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.